Gender differences in presentation and conceptualization of adolescent self-injurious behaviour: Implications for therapeutic practice

Bowen, Arabella C. L.; John, Alexandra Mary

doi:10.1080/09515070110100956

Cited by 17 publications

(12 citation statements)

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“…Generating alternative behaviors that the client can engage in instead of the NSSI, and shaping the use of such behaviors is a solid behavioral method to employ. Therapy can also address potential deficits in problem-solving, communication skills, and the identification, labeling, and verbalization of emotions (Bowen & John, 2001;Collins, 1996;Hawton, 1990), all of which are areas that self-injuring individuals have shown deficits. Non-suicidal self-injury is often used to escape uncomfortable affective or interpersonal states.…”

Section: Behavioral Interventionsmentioning

confidence: 99%

Empirically Supported Treatments and General Therapy Guidelines for Non-Suicidal Self-Injury

Muehlenkamp

2006

Journal of Mental Health Counseling

170

153

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Section: Behavioral Interventionsmentioning

confidence: 99%

Empirically Supported Treatments and General Therapy Guidelines for Non-Suicidal Self-Injury

Muehlenkamp

2006

Journal of Mental Health Counseling

170

153

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“…Bowen & John () discuss the difficulties in capturing true statistical figures regarding self‐harm, the inherently private nature of the behaviour and the number of potentially unreported occurrences means that the available literature should be treated with caution. Klonsky () states that the prevalence of self‐injury is high, with Nixon et al .…”

Section: Findings and Discussionmentioning

confidence: 99%

A qualitative study exploring female patients' experiences of self‐harm in a medium secure unit

Baker

Wright

Hansen

2012

Psychiatric Ment Health Nurs

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This study utilized a social constructivist model and reports upon interviews conducted with five female patients in a medium secure service. Their perception of self-harm is considered. Six themes emerged from the data, 'the traumatized individual', 'interrupted maturation process', 'the hidden experience', 'crossing the line', 'individual and systemic repercussions', 'nascent potential protection'. In addition to the six themes that emerged, we concluded that, although individual perceptions of self-harm varied, commonalities existed across accounts and that individual formulation may assist both patients and staff to gain a personalized understanding, thus, enabling less harmful ways of coping to be established.

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“…The failure of suicidality to differ between the developmental time periods may be due to the failure to distinguish between gestures, serious intentional SIB and attempts. SIB is noted to occur in children as young as 3 years old [ 2 , 23 ]. Suicidality is not a singular concept: it may be divided into serious SIB, suicidal thoughts and actual suicidal attempts.…”

Section: Discussionmentioning

confidence: 99%

Children's unique experience of depression: Using a developmental approach to predict variation in symptomatology

Ginicola

2007

Child Adolesc Psychiatry Ment Health

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BackgroundCurrent clinical knowledge suggests that children can have different types of depressive symptoms (irritability and aggression), but presents no theoretical basis for these differences. Using a developmental approach, the present study sought to test the relationship between developmental level (mental age) and expression of depressive symptoms. The primary hypothesis was that as children's mental age increased, so would the number of internalizing symptoms present.MethodsParticipants were 252 psychiatric inpatients aged 4 to 16 with a diagnosed depressive disorder. All children were diagnosed by trained clinicians using DSM criteria. Patients were predominantly male (61%) with varied ethnic backgrounds (Caucasian 54%; African American 22%; Hispanic 19%; Other 5%). Children were given an IQ test (KBIT or WISC) while within the hospital. Mental age was calculated by using the child's IQ score and chronological age. Four trained raters reviewed children's records for depressive symptoms as defined by the DSM-IV TR. Additionally, a ratio score was calculated to indicate the number of internalizing symptoms to total symptoms.ResultsMental age positively correlated (r = .51) with an internalizing total symptom ratio score and delineated between several individual symptoms. Mental age also predicted comorbidity with anxiety and conduct disorders. Children of a low mental age were more likely to be comorbid with conduct disorders, whereas children with a higher mental age presented more often with anxiety disorders. Gender was independently related to depressive symptoms, but minority status interacted with mental age.ConclusionThe results of this study indicate that a developmental approach is useful in understanding children's depressive symptoms and has implications for both diagnosis and treatment of depression. If children experience depression differently, it follows that treatment options may also differ from that which is effective in adults.

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Gender differences in presentation and conceptualization of adolescent self-injurious behaviour: Implications for therapeutic practice

Cited by 17 publications

References 0 publications

Empirically Supported Treatments and General Therapy Guidelines for Non-Suicidal Self-Injury

Empirically Supported Treatments and General Therapy Guidelines for Non-Suicidal Self-Injury

A qualitative study exploring female patients' experiences of self‐harm in a medium secure unit

Children's unique experience of depression: Using a developmental approach to predict variation in symptomatology

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